Active NPI
Pattyann Romanik, NP-C
- Adult Health Nurse Practitioner
- Teaneck, NJ
National Provider Identifier
1881963114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00357500
- Practice address
- 718 Teaneck Rd
Teaneck, NJ 07666-4245 - Phone
- (201) 833-3000
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00357500 | NJ | Primary |
Addresses
Primary practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Mailing address
3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Other practice location 1
140 Grand Ave
Englewood, NJ 07631-6581
Phone (201) 569-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120215000549 | NJ | Practitioner - Nurse Practitioner | 0648438028 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00357500 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelcare Medical Associates, PA | Current | Accepting new patients | |
| Medical Group of Englewood, Inc | Current | Accepting new patients |
Locations
140 Grand Ave
Englewood, NJ 07631
Phone (201) 569-7672
3 University Plz
Ste 205
Hackensack, NJ 07601
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1881963114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 UNIVERSITY PLZ STE 205",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664245",
"telephone_number": "201-833-3000"
}
],
"practiceLocations": [
{
"address_1": "140 Grand Ave",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076316581",
"country_code": "US",
"telephone_number": "201-569-9010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMANIK",
"first_name": "PATTYANN",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00357500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.